CN2058102U - Phrenic muscle pacing and respiration apparatus - Google Patents
Phrenic muscle pacing and respiration apparatus Download PDFInfo
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- CN2058102U CN2058102U CN 89200051 CN89200051U CN2058102U CN 2058102 U CN2058102 U CN 2058102U CN 89200051 CN89200051 CN 89200051 CN 89200051 U CN89200051 U CN 89200051U CN 2058102 U CN2058102 U CN 2058102U
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- pulse
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- phrenic
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Abstract
The utility model relates to a phrenic muscle pacing and respiration apparatus, which is an improvement on an extracorporeal midriff muscle pacemaker. The phrenic muscle pacing and respiration apparatus, which belongs to a physiotherapy and function rehabilitation medical apparatus, is characterized in that an integrated circuit produces pulse series which have therapeutic functions when a manual switch or an automatic switch is pressed; The pulse series, which are shaped and amplified, respectively act on phrenic nerve motor points (the 1/2-1/3 site on the lower part of the outer edge of the sternocleidomastoideus muscle) on the left and the right both sides of the patient through a therapeutic electrode to stimulate the phrenic nerves to cause the phrenic muscle to start pacing. The utility model has the advantages of steady output pulse waveshape, automatically replacing alternating current and direct current power supplies, capability of being developed to microprocessor control, etc.
Description
This utility model is a kind of improvement to external diaphragm pacemaker, is the Medical Instruments of a kind of physiotherapy and functional rehabilitation.
A kind of external diaphragm pacemaker of Chinese patent application number 87208778.6 applications, it is characterized in that by manual or fast number automatically, under the control of trigger impulse network circuit, power amplification circuit is exported two-way boost pulse through skin electrode 1/2-1/3 place to the bilateral chest lock mamillary process muscle outer edge, stimulate phrenic nerves and cause diaphragm pacing, improve respiratory function.Its shortcoming is the only fixing output of (1) diaphragm pacing number of times 9 times/minute, is that the working life of relay is short with relay tip control, and machine error is big, and fault rate height, contact easily produce spark, and the parameter shakiness is disturbed big; (2) its circuit final stage is the high-frequency impulse self-excited oscillator output amplifier of holding concurrently, and directly output electrode is subject to patient's body surface parameter feedback, causes oscillating condition to change the frequency of oscillation instability; (3) Shu Chu pulse not synchronously and the intensity indication because of there not being built-in conditioned circuit, does not have very big randomness so export pulse, causes diaphragm pacing asynchronous and cause disordered breathing; (4) no alternating current-direct current automatic switching circuit when alternating current power supply is interrupted suddenly, can't continue treatment.
In order to overcome above-mentioned shortcoming, this utility model is to provide a kind of improved external diaphragm pacing device.
Task of the present utility model is finished like this, press manual or automatic switch, produce the train of pulse of treatment usefulness by integrated circuit, train of pulse through shaping, amplification acts on phrenic nerves motor point, the patient left and right sides (1/2-1/3 place under the chest lock mamillary process muscle outer edge) respectively by therapeutic electrode, stimulate phrenic nerves and cause diaphragm pacing, improve the physiology of respiration function, promote the patient respiratory functional rehabilitation.
Below in conjunction with drawings and Examples this utility model is further described.
Fig. 1 is an operation principle block diagram of the present utility model.
Fig. 2 is a structure chart of the present utility model.
Fig. 3 is a rearview of the present utility model.
Fig. 4 is a circuit diagram of the present utility model.
In Fig. 1, the unit that solid line is partly implemented for model machine, dotted portion is the unit that microcomputor program is controlled required adding.
1-IC
5、LED
1。A output level indicating circuit.
2-IC
1、IC
2、BG
1、BG
2。The timing warning circuit.
3、4-IC
3。Low-frequency pulse signal generator and shaping circuit.
5-IC
4、IC
7。Pulse mixing and control circuit.
6-BG
3、B
1。A output channel pulse amplifying circuit.
7-D
7。A output channel sample circuit.
8-D
8。B output channel sample circuit.
9-BG
4、B
2。B output channel pulse amplifying circuit.
10、11-IC
8。High-frequency pulse signal generator and shaping circuit.
12-IC
6、LED
2。B output level indicating circuit.
13-microcomputor program control circuit.
14-medical parameter sample circuit.
The 15-phrenic nerves.
The instrument energized is pressed manual switch (17), makes (3) and (4) produce low-frequency pulse, and in addition shaping.(5) are imported in the low-and high-frequency pulse simultaneously, be mixed into the profiled pulses string of the required pace-making number of times of treatment, by A fine tuning (18), A is controlled in B fine tuning (22) respectively, the output intensity of B two-way, with A, the train of pulse voltage of B two passages is delivered to A output channel pulse amplifying circuit (6) and B output channel pulse amplifying circuit (9), A channel pair of electrodes and B passage pair of electrodes are coated conduction respectively and are stuck with paste, wherein small electrode (therapeutic electrode A, B-acts on phrenic nerves motor point, the patient left and right sides respectively with the boost pulse string) and large electrode (indifferent electrode A, B-places the pectoralis major surface) form the electric field loop of boost pulse string.It (is W that the stimulus intensity size is subjected to the manual potentiometer in (6), (9)
3, W
4) control, by medical personnel's operation, regulate according to treatment needs and patient's adaptedness.The demonstration of stimulus intensity size is by (7), (8) A, the sampling of B channel output end, the LED through (1) and (12)
1, LED
2Show.As will regularly treating,, then close the train of pulse output of (5) by (2) control time, and send musical sound and inform.
(13) and (14) be to develop into microcomputor program control circuit and medical parameter sample circuit, to related parameter be arranged according to the patient of C-channel input in the instrument, after treatment, control (3), (11) and (5) respectively, adjust the frequency and the pace-making number of times of train of pulse, adjustment output intensity size, instrument will enter the state of Automatic Control treatment parameter fully this moment.
In Fig. 4, connect alternating current power supply, with K switch
6Engage, instrument is in dormant state.Work as K switch
2When connecting " 1 " point, IC
8Producing pulse width is the 0.1-1 millisecond, and the cycle is the rectangular pulse of 10-50 millisecond, by built-in W
2Adjustable continuously, and at IC
8In shaping in addition, by IC
8The output of " 5 " foot; IC
3Producing repetition rate is 8-16 time/minute, by W
1Adjustable continuously, the persistent period is the 0.5-2 square wave of second, and at IC
3In shaping in addition, by IC
3The output of " 5 " foot; IC
3And IC
5Pulse import IC simultaneously
4, IC
7" 1 ", " 5 " and " 2 ", " 6 " foot, IC
4, IC
7Form pulse mixing and control circuit respectively, form the profiled pulses string that treatment requires, by IC
4And IC
7" 10 " foot output, pass through W
3, W
4The regulating impulse level enters A channel BG respectively continuously
3Base stage and B channel B G
4Base stage, train of pulse is carried out power amplification, export the pulse output transformer of particular design to by the collection utmost point, output amplitude is the electric stimulation pulse that the bidirectional energy of 0-140V equates, K
4, K
5Regulate the low 0-50V of A, B passage, high 0-140V impulse level respectively (in conjunction with W
3, W
4Thin tuning).
K switch
2When connecting " 2 " point, pacing frequency will be by K
3Manually control, be specially adapted to give emergency treatment to a patient this moment.
D
7And D
8Be respectively A, B passage output pulse sampling, through IC
5And IC
6Amplification, control circuit are by LED
1And LED
2Show the level size, each opens that bright indication level is respectively 15,30,50,70,100V from the bottom to top, avoids careless manipulation, export too highly, stimulates by force to meet accident, and can be observed A simultaneously, the B passage is exported the synchronous regime of pulse.
IC
1, IC
2, BG
1, BG
2, SP forms regularly warning circuit, can set treatment time during use, then stops output automatically, sending musical sound is notification signal.
D
1, D
2, D
3, D
4Be the power of alterating and direct current automatic switching circuit.
The drawing explanation of Fig. 2, Fig. 3:
The 16-manual switch.When the automatic/hand switch was pressed, this switch whenever by trigger impulse generation next time once.The automatic/hand switch is in the normal position, and this switch is inoperative.
17-automatic/hand switch.The generation of control trigger impulse, normal position are that automatic trigger impulse produces, and press to manually pulse-triggered generation, are used in combination with manual switch.
18,22-A fine tuning, B fine tuning.Be used for regulating continuously the amplitude of output electric pulse, in conjunction with the use of the strong and weak switch of output, weak 0-50V of control and strong 0-140V regulate continuously respectively.
19,21-A output, B output.The accessory power outlet of A, B two counter electrode.
The 20-on and off switch.The on and off switch of alternating current power supply has display lamp, and pressing is the instrument energized, and display lamp is bright.
23-pace-making number of times is adjusted.Adjust pace-making this count 8-16 time adjustable continuously, its number of times shows at pace-making number of times display.
24-pace-making number of times shows.Pace-making number of times display for the development design is controlled by the adjustment of pace-making number of times, and the 8-16 double figures shows.
The indication of 25-B output intensity.Output intensity 15,30,50,70,100V are from bottom to top indicated in five LED indications respectively.
The 26-timing shows.The timing that is the development design shows, when comprising, minute, second.
The indication of 27-A output intensity.Act on identical with 25.
28-exports strong and weak switch.Normal position is strong output 0-140V, presses to be weak output 0-50V.
The 29-time switch.Pressing is 30 minutes timing controlled, and then instrument stops output, and has musical sound to inform.
Element board behind the 30-control panel 31-control element buck plate 32-
33-sequence circuit plate 34-power supply circuit board 35-main circuit board
36-cabinet 37-chassis cover plate 38-carrying handle hands
39-AC Power supply socket 40-fuse holder 41-Direct current power source socket
42-Add-In control unit interface.During for the control of development microcomputer Processing Program, the joining procedure controller.
43-timing music speaker.Press time switch, to the time, this speaker sends musical sound, and the expression treatment finishes, and boost pulse stops output, informs medical worker and patient.
The utility model and has the following advantages except the advantage with former external diaphragm pacemaker: (1) output pulse waveform is steady, and every pulse parameter is through optimizing and revising, and it is adjustable that the pace-making number of times is controlled at 8-16 time/minute continuously by electro coupled oscillator; (2) pulse shaping circuit separates with output circuit, and waveform parameter is not subjected to patient's body surface parameter influence, guarantees that the optimal treatment pulse parameter is stable, improves result for the treatment of; (3) output pulse string amplitude size has synchronous multi-stage LED indication, is convenient to adjusting output intensity, can be observed A, B passage two group pulse Complete Synchronizations, avoids asynchronous to suffering from left and right sides diaphragm nerve stimulation, and the disordered breathing that causes; (4) built-in pulse conditioned circuit, power of alterating and direct current automatic switching circuit, its circuit design can develop into microprocessor-controlIed comprehensive respiratory function therapeutic system; (5) adopt AC power to suspend and isolate, guaranteed instrument and user's safety.
Claims (3)
1, a kind of diaphragm pacing respirometer is characterized by:
(1) by pressing manual switch, low-frequency pulse signal generator and shaping circuit (IC
3) produce low-frequency pulse, and in addition shaping, high-frequency pulse signal generator and shaping circuit (IC simultaneously
8) produce high-frequency impulse, and in addition shaping;
(2) low-and high-frequency pulse simultaneous input pulse mixes and control circuit (IC
4, IC
7), be mixed into the profiled pulses string for the treatment of required pace-making number of times, control the output intensity of A, B two-way respectively by A, B fine tuning;
(3) the train of pulse voltage of A, B two passages is delivered to A output channel pulse amplifying circuit and B output channel amplifying circuit, A channel pair of electrodes and B passage pair of electrodes are coated conduction respectively and are stuck with paste, wherein small electrode (therapeutic electrode A
1, B
1-the boost pulse string is acted on phrenic nerves motor point, the patient left and right sides respectively) and large electrode (indifferent electrode A
2, B
2-place the pectoralis major surface) form the electric field loop of boost pulse string;
(4) the stimulus intensity size (is W by the manual potentiometer in A output channel pulse amplifying circuit and the B output channel pulse amplifying circuit
3, W
4) control, pass through D
7, D
8Sampling is by LED
1, LED
2Show;
(5) microcomputor program control circuit and medical parameter sample circuit and IC
3, IC
8And IC
4, IC
7Connect the parameter of control treatment automatically.
2, diaphragm pacing respirometer according to claim 1 is characterized by IC
3Producing repetition rate is 8-16 time/minute, and the persistent period is the 0.5-2 square wave of second, IC
8Producing pulse width is the 0.1-1 millisecond, and the cycle is the rectangular pulse of 10-50 millisecond.
3, diaphragm pacing respirometer according to claim 1 is characterized by by IC
4And IC
7The profiled pulses string of output is through BG
3And BG
4Pulse amplifying circuit, by pulse output transformer, output amplitude is the electric stimulation pulse that the bidirectional energy of 0-140V equates, the size of electric stimulation pulse amplitude is respectively by W
3, W
4The infinitely fine control joint, output is strong and weak by K switch
4, K
5The strong output of control 0-140V, weak output 0-50V.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN 89200051 CN2058102U (en) | 1988-12-30 | 1988-12-30 | Phrenic muscle pacing and respiration apparatus |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN 89200051 CN2058102U (en) | 1988-12-30 | 1988-12-30 | Phrenic muscle pacing and respiration apparatus |
Publications (1)
Publication Number | Publication Date |
---|---|
CN2058102U true CN2058102U (en) | 1990-06-13 |
Family
ID=4858207
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN 89200051 Withdrawn CN2058102U (en) | 1988-12-30 | 1988-12-30 | Phrenic muscle pacing and respiration apparatus |
Country Status (1)
Country | Link |
---|---|
CN (1) | CN2058102U (en) |
Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN100379471C (en) * | 2004-08-10 | 2008-04-09 | 广州医学院第一附属医院 | Air supply method by triggering breathing machine by esophagus electrode diaphragmatic muscle electromyogram |
CN103638599A (en) * | 2013-12-25 | 2014-03-19 | 苏州景昱医疗器械有限公司 | Implanted nerve electrical stimulation control method, device and system |
CN107158564A (en) * | 2017-05-04 | 2017-09-15 | 广州雪利昂生物科技有限公司 | A kind of external diaphragm pacemaker of the medium frequency electric stimulation of low frequency modulations |
CN109475739A (en) * | 2017-09-21 | 2019-03-15 | 大冢科技株式会社 | Electric stimulation therapeutic apparatus |
-
1988
- 1988-12-30 CN CN 89200051 patent/CN2058102U/en not_active Withdrawn
Cited By (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN100379471C (en) * | 2004-08-10 | 2008-04-09 | 广州医学院第一附属医院 | Air supply method by triggering breathing machine by esophagus electrode diaphragmatic muscle electromyogram |
CN103638599A (en) * | 2013-12-25 | 2014-03-19 | 苏州景昱医疗器械有限公司 | Implanted nerve electrical stimulation control method, device and system |
CN103638599B (en) * | 2013-12-25 | 2016-12-07 | 苏州景昱医疗器械有限公司 | Implantable neural electrical stimulation control method, Apparatus and system |
CN107158564A (en) * | 2017-05-04 | 2017-09-15 | 广州雪利昂生物科技有限公司 | A kind of external diaphragm pacemaker of the medium frequency electric stimulation of low frequency modulations |
CN107158564B (en) * | 2017-05-04 | 2024-04-12 | 广州雪利昂生物科技有限公司 | Low-frequency modulated intermediate-frequency electric stimulation external diaphragm pacemaker |
CN109475739A (en) * | 2017-09-21 | 2019-03-15 | 大冢科技株式会社 | Electric stimulation therapeutic apparatus |
US10675464B2 (en) | 2017-09-21 | 2020-06-09 | Otsuka Techno Corporation | Electrical stimulation therapy instrument |
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Legal Events
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C06 | Publication | ||
PB01 | Publication | ||
C14 | Grant of patent or utility model | ||
GR01 | Patent grant | ||
C19 | Lapse of patent right due to non-payment of the annual fee | ||
CF01 | Termination of patent right due to non-payment of annual fee |